Orange County NC Website
26 <br /> 10/0 PLAN <br /> Day Treatment <br /> C. In a Mental $50/day <br /> Health Day Treatment/ Copayment, <br /> Partial Hospital $700 per <br /> Facility, thirty Contract Year <br /> (30) Inpatient Days maximum Copayment <br /> are exchangeable per person <br /> at the rate of <br /> one (1) for two (2) <br /> in a Mental Health <br /> Day Treatment Facility, <br /> up to a maximum of <br /> 60 days per Contract <br /> Year <br /> VII. SKILLED NURSING <br /> FACILITY SERVICES <br /> Semi-private Room, Full Coverage <br /> Up to 100 days per <br /> confinement, when <br /> ordered by a Partici- <br /> pating Physician and <br /> approved, in advance, <br /> in writing by the Plan's <br /> Medical Director as an <br /> alternative to <br /> hospitalization. <br /> VII/. HOME HEALTH CARE <br /> Unlimited number of visits per Full Coverage <br /> contract year, when ordered by a <br /> Participating Physician and <br /> approved in advance, in writing <br /> • <br /> by the Plan's Medical Services <br /> Department as an alternative <br /> to hospitalization. <br /> IX. REFERRAL TO NON-PARTICI- Full Coverage <br /> PATING PROVIDERS <br /> If no Participating Physician <br /> and/or Participating Provider <br /> can provide Medically Necessary <br /> Health services. The Plan's <br /> Medical Director must approve <br /> • <br /> such referral, in advance, in 1 <br /> writing. <br /> 22 <br /> Namama amaa-. <br />